Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES JOHN VACCARIELLO, MD
Active Sole ProprietorObesity Medicine · COMMACK, NY
Registration Details
- NPI Number
- 1932275963
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 28, 2006 (19.39775543829 yrs)
- Last Updated
- Jul 21, 2022
- Licenses
-
104837 (NY)104837 (NY)104837 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2092 JERICHO TPKE STE 5COMMACK, NY, 117253008Browse NY providers · Browse ZIP 11725
- Phone
- 6313437611
- Fax
- 6313437612
- Primary Specialty
-
Obesity Medicine
207QB0002X
- Additional Specialty
- Non-Pharmacy Dispensing Site
- Additional Specialty
- Obesity Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.